What are the treatment options for Bartholin abscesses and cysts?

Updated: Jan 08, 2019
  • Author: Gil Z Shlamovitz, MD, FACEP; Chief Editor: Christine Isaacs, MD  more...
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Answer

Answer

Different techniques exist for the treatment of Bartholin cysts and abscesses, but there has been no proven superiority between surgical and conservative management strategies. [5] The most commonly used approaches are: (1) fistulization using a Word catheter and (2) marsupialization. [6]

Other techniques include: (1) silver nitrate gland ablation; (2) cyst or abscess fenestration, ablation, or excision using carbon dioxide (CO2) laser; (3) needle aspiration with or without alcohol sclerotherapy; (4) gland excision; and (5) incision and drainage followed by primary suture closure. [7, 8, 9]


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